City of Marietta

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0149 Issued in MN

Legal business name

CITY OF MARIETTA

Doing business as

Marietta Ambulance Service

Practice address

203 3Rd Ave. North
Marietta, MN 56257-0123

Phone

(320) 668-2375

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dorothy Clara Stoick

Title

City Clerk

Phone

(320) 668-2375

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marietta Ambulance Service Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407978893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SECOND ST. NORTH",
            "address_2": "PO BOX 123",
            "city": "MARIETTA",
            "state": "MN",
            "postal_code": "562570123",
            "telephone_number": "320-668-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 3RD AVE. NORTH",
            "city": "MARIETTA",
            "state": "MN",
            "postal_code": "562570123",
            "telephone_number": "320-668-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MARIETTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOICK",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "CLARA",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "320-668-2375"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MN",
            "license": "0149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID #GROUP",
            "identifier": "44343MA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marietta Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.